medigraphic.com
ISSN 0035-0052 (Impreso)

2006, Número 1

<< Anterior Siguiente >>

Rev Mex Pediatr 2006; 73 (1)


Biopsia excisional de ganglios periféricos en el diagnóstico de neoplasias malignas en niños

Quero HA, Villarreal CL, Coronado GR, Tenorio RH, Álvarez SRM

Idioma: Español
Referencias bibliográficas: 25
Paginas: 9-13
Archivo PDF: 58.33 Kb.


RESUMEN

Objetivo. Conocer la frecuencia con la que se hace el diagnóstico de neoplasias malignas en niños por biopsia excisional de linfadenopatías periféricas.
Material y métodos. Se revisan 59 expedientes de dos hospitales, de niños sometidos a biopsia excisional por tener un padecimiento acompañado de adenopatías periféricas.
Resultados. La linfoadenopatía era localizada en 44 (75%) niños, limitada en 9 (15%) y localizada en 6 (10%). El diagnóstico histopatológico fue: infecciosas 8 (14%), hiperplasia folicular reactiva 31 (52%) y neoplasia maligna 20 (34%); 13 de estos últimos por linfoma de Hodgkin y en 7 por linfoma no Hodgkin.
Conclusión. La adenopatía periférica más frecuente fue la hiperplasia folicular reactiva, pero las neoplasias malignas fueron identificadas en un tercio de los niños.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Novales CXJ. Temas de pediatría. Medicina interna. México: McGraw-Hill Interamericana. 2000: 29-52.

  2. Morland, Bruce. Lymphadenopathy. Arch Dis Child 1995; 73(5): 476-9.

  3. Karadeniz C, Oguz A, Ezer U, Ozturk G, Dursun A. The etiology of peripheral lymphadenopathy in children. Pediatr Hematol Oncol 1999; 16: 525-31.

  4. Brnic Z, Hebrang A. Usefulness of Doppler waveform analysis in differential diagnosis of cervical lymphadenopathy. Eur Radiol 2003; 13: 175-80.

  5. Perin B, Gardellin G, Nisi E, Perini L, Lunghi F, Frasson P. Ultrasonic diagnosis of the central hyperechogenic area in lymph nodes. A sign of benign lymphadenopathy. Radiol Med 1987; 74: 535-8.

  6. Grossman M, Shiramizu B. Evaluation of lymphadenopathy in children. Current Opin Pediatr 1994; 6: 68-76.

  7. Lioe TF, Elliot H, Allen DC, Spence RA. The role of fine aspiration cytology (FNAC) in the investigation of superficial lymphadenopathy; uses and limitations of the technique. Cytopathology 1999; 10: 291-7.

  8. Shaha A, Webber C, Marti J. Fine needle aspiration in the diagnosis of cervical lymphadenopathy. Am J Surg 1986; 152: 420-3.

  9. Van de Schoot L, Aronson DC, Behrendt H, Bras J. The role of fine needle aspiration cytology in children with persistent or suspicious lymphadenopathy. J Pediatr Surg 2001; 36: 7-11.

  10. Kardos TF, Maygarden SJ, Blumberg AK, Wakely PE Jr, Frable WJ. Fine needle aspiration biopsy in the management of children and young adults with peripheral lymphadenopathy. Cancer 1989; 63: 703-7.

  11. Sarda AK, Bal S, Singh MK, Kapur MM. Fine needle aspiration cytology as a preliminary diagnostic procedure for asymptomatic cervical lymphadenopathy. J Assoc Phys Ind 1990; 38: 203-5.

  12. Orford JE, Gollou I, Biennan B, Hallam L. Fine needle aspiration biopsy in children. Australian New Zealand J of Surg 1997; (67): 758-788.

  13. Kim LH, Peh SC, Chan KS, Chai SP. Pattern of lymph node pathology in a private pathology laboratory. Malays J Pathol 1999; 21: 87-93.

  14. Rapidis AD, Economidis J, Goumas PD, Langdon JD, Skordalakis A, Tzortzatou F. Tumours of the head and neck in children. A clinical pathological analysis of 1,007 cases. J of Cranio-Maxilo-Facial Surg 1998; 16: 279-786.

  15. Adelusola KA, Oyelami AO, Odesanmi WO, Adeodu OO. Lymphadenopathy in Nigerian children. West Afr J Med 1996; 15: 97-100.

  16. Moore SW, Schneider JW, Schaaf HS. Diagnostic aspects of cervical lymphadenopathy in children in the developing world: a study of 1,877 surgical specimens. Pediatr Surg Int 2003; 19: 240-4.

  17. Perkins SL, Segal GH, Kjeldsberg CR. Work-up of lymphadenopathy in children. Semin Diagn Pathol 1995; 12: 284-7.

  18. Knight PJ, Mulne AF, Vassy LE. When is lymph node biopsy indicated in children with enlarged peripheral nodes? Pediatrics 1982; 69: 391-6.

  19. Slap GB, Brooks JS, Schwartz JS. When to perform biopsies of enlarged peripheral lymph nodes in young patients. JAMA 1984; 252: 1321-6.

  20. Buchino JJ, Jones VF. Fine needle aspiration in the evaluation of children with lymphadenophaty. Arch Pediatr Adolesc Med 1994; 148: 1327-30.

  21. Rios E, Otoya L. Diagnosis of lymphadenopathy in children: role of fine needle aspiration biopsy. Rev Med Clin 1999; 127: 323-8.

  22. Gamboa DA, Luna GLI, Quintanilla ML. Lymph node biopsy using fine-needle aspiration clinical and cytohistological correlation in 179 cases. Rev Invest Clin 1995; 47: 341-342.

  23. Lake AM, Osky FA. Peripheral lymphadenopathy in childhood. Ten-year experience with excisional biopsy. Am J Dis Child 1978; 132: 357-9.

  24. Spitz MR, Sider JF, Johnson CC, Butler JJ, Pollack G, Newell GR. Ethnic patterns of Hodgkin’s disease incidence among children and adolescents in the United States 1973-1982. J Natl Cancer Inst 1986; 76: 235.

  25. Redondo GMJ, Alvarez GFJ, Gomez MI, Bobillo AH, Blanco QA, Mateos OJJ. Diagnostic evaluation of cervical adenopathies in childhood. An Esp Pediatr 1992; 37: 233-7.




2020     |     www.medigraphic.com